HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652 RECEIVED
(772)462-1553
SEP 2 5 2017
FILLED LAND AFFIDAVIT
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I,the undersigned, am the owner of the following described property,
CoC)-,j C)I-15-000— �
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Devel ment Permit. In
accepting this Final Development Permit, BP Number I , I acknowledge
that as owner of the above described property, and "in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Property Owner Name(Please Print)
ope er gna e Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFO ME THIS DAY OF 20
�L �
BY 1 l/V l WHO IS PERSONALLY KNOWN TO ME L II OR WHO HAS
PRODUCED AS IDENTIFICATION.
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SIGNATURE OF N AR PUBLI TYAINT NOTARY��\� �
COMMISSION NUMBER
(SEAL)
KAREN S! NIELSEN
.... , 7
W'eS Commission k FF 11563`' MyCommission Expires
SLCPDSD Revised 04/11/2011P 12, 2018
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